NDC codes

FDA NDC Directory
Product NDC (as listed)0121-0854Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00121-0854Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0121-0854-1600121085416473 mL in 1 BOTTLE (0121-0854-16)Marketed from Jul 3, 1983

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Sulfatrim
Generic name (nonproprietary)
sulfamethoxazole and trimethoprim
Active ingredients
Sulfamethoxazole — 200 mg/5mLTrimethoprim — 40 mg/5mL
Dosage form
Suspension
Route
Oral
Labeler
PAI Holdings, LLC dba PAI PharmaNDC labeler code 0121
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018615
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C8 Inhibitors (Mechanism)Cytochrome P450 2C9 Inhibitors (Mechanism)Dihydrofolate Reductase Inhibitors (Mechanism)Organic Cation Transporter 2 Inhibitors (Mechanism)Sulfonamides (Chemical structure)
Identifiers
Product ID 0121-0854_a13ce54e-96e8-437a-b4f7-0af852a5a10aSPL ID a13ce54e-96e8-437a-b4f7-0af852a5a10aSPL set ID c62086ea-ba15-40f5-8431-4639c60c9825RxCUI 208406, 313134UNII JE42381TNV, AN164J8Y0X
Pharmacologic class
Dihydrofolate Reductase Inhibitor Antibacterial; Sulfonamide Antimicrobial

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400121085416 followed by a unit qualifier and the quantity

Package 00121-0854-16. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE To reduce the development of drug-resistant bacteria and maintain the effectiveness of sulfamethoxazole and trimethoprim oral suspension and other antibacterial drugs, sulfamethoxazole and trimethoprim oral suspension should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to empiric selection of therapy. Urinary Tract Infections For the treatment of urinary tract infections due …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0121-0854

What is NDC 0121-0854?
0121-0854 is the product NDC for Sulfatrim, Sulfamethoxazole 200 mg/5mL; Trimethoprim 40 mg/5mL suspension, listed with the FDA by PAI Holdings, LLC dba PAI Pharma. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sulfatrim (Sulfamethoxazole and Trimethoprim).
What is the active ingredient?
Sulfamethoxazole, Trimethoprim.
Who is the labeler?
PAI Holdings, LLC dba PAI Pharma, NDC labeler code 0121. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sulfatrim?
2 other product NDCs are listed under this name. See all Sulfatrim NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Sulfatrim NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sulfatrimsulfamethoxazole and trimethoprimSulfamethoxazole 200 mg/5mL; Trimethoprim 40 mg/5mLSuspensionOralPreferred Pharmaceuticals, Inc.68788-734568788-7345-04
Sulfatrimsulfamethoxazole and trimethoprimSulfamethoxazole 200 mg/5mL; Trimethoprim 40 mg/5mLSuspensionOralA-S Medication Solutions50090-783650090-7836-00

Other NDCs under NDA 018615

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 018615
ProductStrengthForm · routeLabelerProduct NDC
Sulfamethoxazole and TrimethoprimSulfamethoxazole 200 mg/5mL; Trimethoprim 40 mg/5mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-0853
Sulfatrimsulfamethoxazole and trimethoprimSulfamethoxazole 200 mg/5mL; Trimethoprim 40 mg/5mLSuspensionOralA-S Medication Solutions50090-7836
Sulfatrimsulfamethoxazole and trimethoprimSulfamethoxazole 200 mg/5mL; Trimethoprim 40 mg/5mLSuspensionOralPreferred Pharmaceuticals, Inc.68788-7345

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